| NPI | 1467626077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRA YOUNG Director 267-426-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |